Fluid pump sterilization apparatus and method

ABSTRACT

An apparatus for pumping a selected sterilizing fluid by a user comprising:
         a fluid container, a pump assembly having a fluid delivery tube, the fluid delivery tube being manually drivable by the user in a downstream direction starting from a stationary start position and adapted to pump fluid upstream through an upstream end of the fluid delivery tube that is configured to receive and engage a complementary surface of an external device,   the fluid delivery tube being drivable downstream from the start position by manually engaging the complementary surface of the external device against the upstream facing surface of the enlarged head and manually driving the external device in the downstream direction.

RELATED APPLICATIONS

This application is a continuation of and claims the benefit of priority to PCT/US2016/033727 filed May 23, 2016, the disclosure of which is incorporated by reference as if fully set forth herein.

BACKGROUND

Medical devices, instruments, implements and the like are commonly used by doctors, nurses and health care providers generally on multiple patients. Devices such as stethoscopes, blood pressure measurement devices, electrodes and the like are used to make contact with some portion of the surface of multiple patients one after the other without thought for sterilization in advance of use or, if sterilization is immediately available for use, is ignored by the health care provider due to the seemingly low risk of contamination of the device being used.

SUMMARY OF INVENTION

Health care providers and physicians often see how hospitalization can be harmful to a subject's health. The number of hospital acquired infections are quite alarming. Health care providers are typically very careful to hand wash their hands between attending to successive patients. Health care providers often isolate patients with very resistant infections and sanitize the room when the infected patient is discharged. Notwithstanding such precautions, a major culprit in spreading infection between successive patients is the stethoscope. Health care providers put it around their necks in close proximity to their own exhaled breath.

Stethoscopes physically touch every patient that a health care provider normally sees and rarely is a stethoscope cleaned with alcohol. In a typical day in a hospital every patient is seen by at least 3-4 nurses (due to shift changes), 1-3 physicians (depending on whether a specialist are involved or not), 2-3 nurse's aids (taking vital signs), and possibly a few respiratory therapists. This number is much higher in teaching hospitals because of exposure to medical students and student nurses. The stethoscope touches one patient up to 10 times a day. This means just by random chance a single patient can actually have contact with a total stranger in another floor of the hospital more than once without ever knowing it. Covers for stethoscopes have been devised but have not been practicable in the mechanisms, if any, for accessibility or ease of use.

Although bags or covers have been used for covering stethoscopes such as disclosed in U.S. patent publication no. 20120010517, such bags or devices cannot proactively sterilize a surface of the stethoscope or other medical device prior to its use.

In accordance with the invention there is provided an apparatus 10 for pumping a selected sterilizing fluid F by a user comprising:

a fluid container 12 having an enclosed interior chamber 13 that receives the selected sterilizer fluid,

a pump assembly 18 comprising a base 18 b, a fluid delivery tube 20 having an axis A and a central fluid flow channel 20FC, the fluid delivery tube 20 being slidably mounted in the base 18 b for reciprocal upstream U, downstream D movement through the base, the fluid delivery tube 20 having an upstream end 22 and being spring load biased S in an upstream direction U such that the upstream end 22 of the fluid delivery tube is urged upstream U to a stationary start position disposed outside the enclosed interior chamber 13,

the fluid delivery tube 20 being manually drivable by the user in a downstream direction D starting from the stationary start position and adapted to pump fluid upstream F1 u through the fluid flow channel 20FC on downstream driven movement D of the fluid delivery tube 20,

the upstream end 22 of the fluid delivery tube 20 comprising an enlarged head 22 having an upstream facing surface 22 s having one or more apertures 22 a disposed in and through the upstream facing surface 22 s, the one or more apertures 22 a communicating 20 c with the fluid flow channel 20FC of the fluid delivery tube 20 such that fluid F1 that resides within the fluid flow channel 20FC is pumped through the one or more apertures 22 a on driven movement of the fluid delivery tube in the downstream direction D,

the upstream facing surface 22 s of the head being configured to receive and engage a complementary surface 17 s of an external device 15 having a predetermined surface contour,

the fluid delivery tube 20 being drivable downstream from the start position by manually engaging the complementary surface 17 s of the external device 15 against the upstream facing surface 22 s of the enlarged head 22 and manually driving the external device in the downstream direction D.

The upstream end 22 of the fluid delivery tube 20 can include a spout 24 extending in a generally radial direction R from the axis A of the fluid delivery tube 20, the spout 24 having a radial flow channel 24 c that terminates at an upstream end in an open fluid delivery aperture 24 a and communicates at a downstream end 24 b with the fluid flow channel 20FC of the fluid delivery tube 20 such that fluid F1 that resides within the fluid flow channel is pumped through the radial channel 24 c on downstream movement D of the fluid delivery tube 20.

The fluid delivery tube 20 is typically adapted to draw fluid F1 that resides in the enclosed container 13 upstream into the fluid flow channel 20FC or into fluid communication with 18 cc, 20 da the fluid flow channel 20FC on upstream movement U of the fluid delivery tube 20 under force of the spring load bias S exerted on the fluid delivery tube 20.

The fluid flow channel preferably branches 20 b at a distribution position into a first branch 20 c and a second branch 24 c that simultaneously and respectively communicate fluid F to the one or more apertures 22 a in the head 22 and to the radial flow channel 24 c of the spout 24.

The pump assembly 18 can include a cylinder 18 c having an inner wall surface, the fluid delivery tube comprising an elongated tube portion 20 et having a piston head 20 p formed on a downstream end of the elongated tube 20 et, the piston head 20 p having an outer circumferential surface 20 ps that sealably and slidably mates with the inner wall surface 18 ccs of the cylinder 18 c to form a downstream fluid receiving chamber 18 cc within the cylinder 18 c that receives fluid F1 u that is resident in the enclosed interior chamber 13 of the container 12 through a downstream valve 60 v that is mounted to the cylinder on upstream movement of the fluid delivery tube 20, the fluid received F1 within the fluid receiving chamber 18 cc of the cylinder 18 c being forced upstream through an aperture 20 da that is disposed in the piston head 20 p that is in communication with the fluid flow channel 20FC.

In another aspect of the invention there is provided a method of performing a sterilization process comprising a user's manually engaging the upstream facing surface of the head of the apparatus described above with the complementary surface of the selected device and manually driving the fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.

In another aspect of the invention there is provided an apparatus for pumping a selected sterilizing fluid by a user comprising:

a fluid container having an enclosed interior chamber that receives the selected sterilizer fluid,

a pump assembly comprising a base, a fluid delivery tube having an axis and a central fluid flow channel, the fluid delivery tube being slidably mounted in the base for reciprocal upstream, downstream movement through the base, the fluid delivery tube having an upstream end and being spring load biased in an upstream direction such that the upstream end of the fluid delivery tube is urged upstream to a stationary start position disposed outside the enclosed interior chamber,

the fluid delivery tube being manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump fluid upstream through the fluid flow channel on downstream driven movement of the fluid delivery tube,

the upstream end of the fluid delivery tube comprising an enlarged head having an upstream facing surface having one or more apertures disposed in and through the upstream facing surface, the one or more apertures communicating with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the one or more apertures on driven movement of the fluid delivery tube in the downstream direction,

the upstream facing surface of the head being configured to receive and engage a complementary surface of an external device having a predetermined outer surface contour,

wherein the upstream end of the fluid delivery tube includes a spout extending in a generally radial direction from the upstream end of the fluid delivery tube, the spout having a radial flow channel that terminates at an upstream end in an open fluid delivery aperture and communicates at a downstream end with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the radial channel on downstream movement of the fluid delivery tube.

In such an apparatus, the fluid delivery tube is preferably adapted to draw fluid that resides in the enclosed container upstream into the fluid flow channel or into fluid communication with the fluid flow channel on upstream movement of the fluid delivery tube under force of the spring load bias exerted on the fluid delivery tube.

The fluid flow channel typically branches at a distribution position into a first branch and a second branch that simultaneously and respectively communicate fluid to the one or more apertures in the head and to the radial flow channel of the spout.

The pump assembly can include a cylinder having an inner wall surface, the fluid delivery tube comprising an elongated tube having a piston head formed on a downstream end of the elongated tube, the piston head having an outer circumferential surface that sealably and slidably mates with the inner wall surface of the cylinder to form a downstream fluid receiving chamber within the cylinder that receives fluid that is resident in the enclosed interior chamber of the container through a downstream valve that is mounted to the cylinder on upstream movement of the fluid delivery tube, the fluid received within the fluid receiving chamber of the cylinder being forced upstream through an aperture that is disposed in the piston head that is in communication with the fluid flow channel.

In another aspect of the invention there is provided a method of performing a sterilization process comprising a user's manually engaging the upstream facing surface of the head of the apparatus described immediately above with the complementary surface of the selected device and manually driving the fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.

In another aspect of the invention there is provided an apparatus (10) for pumping first and second selected sterilizing or cleaning fluids (F, F1) by a user comprising:

a first fluid container (12) having an enclosed interior chamber (10 c) that receives and contains the first selected sterilizer fluid (F),

a second fluid container (12 k) having an enclosed interior chamber (10 kc) that receives and contains the second selected sterilizer fluid (F1),

a first pump assembly (18) comprising a base (18 b) mounted to the first fluid container (12), a fluid delivery tube (20) communicating with the fluid contained in the first fluid container (12), the fluid delivery tube (20) having an axis (A) and a central fluid flow channel (20FC), the fluid delivery tube (20) being slidably mounted in the base (18 b) for reciprocal upstream (U), downstream (D) movement through the base, the fluid delivery tube (20) having an upstream end (22) and being spring load biased (S) in an upstream direction (U) such that the upstream end (22) of the fluid delivery tube is urged upstream (U) to a stationary start position disposed outside the enclosed interior chamber (13),

the fluid delivery tube (20) being manually drivable by the user in a downstream direction (D) starting from the stationary start position and adapted to pump fluid upstream (F1 u) through the fluid flow channel (20FC) on downstream driven movement (D) of the fluid delivery tube (20),

the upstream end (22) of the fluid delivery tube (20) comprising an enlarged head (22) having an upstream facing surface (22 s) having one or more apertures (22 a) disposed in and through the upstream facing surface (22 s), the one or more apertures (22 a) communicating (20 c) with the fluid flow channel (20FC) of the fluid delivery tube (20) such that fluid (F1) that resides within the fluid flow channel (20FC) is pumped through the one or more apertures (22 a) on driven movement of the fluid delivery tube in the downstream direction (D),

the upstream facing surface (22 s) of the head being configured to receive and engage a complementary surface (17 s) of an external device (15) having a predetermined surface contour,

the fluid delivery tube (20) being drivable downstream from the start position by manually engaging the complementary surface (17 s) of the external device 15 against the upstream facing surface (22 s) of the enlarged head (22) and manually driving the external device in the downstream direction (D).

In such an apparatus the first fluid container (12) and the second fluid container (12 k) are preferably adapted such that an undersurface (24 u) of a laterally extending spout (24) of the first fluid container (12) engages a top surface (22 k) of a laterally extending spout (24 k) of the second fluid container (12 k) that is interconnected to a second fluid delivery tube (20 k) that is interconnected to a second pump assembly (18 k) wherein both the first and second fluid delivery tubes (20, 20 k) are simultaneously manually drivable by the user in a downstream direction (D) starting from the stationary start position and adapted to pump both fluids (F, F1) upstream (F1 u) respectively through respective fluid delivery apertures 22 a, 24 a on downstream driven movement (D) of the fluid delivery tubes (20, 20 k).

In another aspect of the invention there is provided a method of performing a sterilization or cleaning process comprising a user's manually engaging the upstream facing surface (22 s) of the head (22) of the pump assembly (18) of the apparatus as described immediately above with the complementary surface (17 s) of the selected device (15) and manually driving the first fluid delivery tube (20) in the downstream direction by manually driving the selected device (15) in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.

In another aspect of the invention there is provided an apparatus (10) for pumping first and second selected sterilizing or cleaning fluids (F, F1) by a user comprising:

a fluid container (500) having a first enclosed interior chamber (10 c) that receives and contains a first selected sterilizer or cleaning fluid (F) and a second enclosed interior chamber (10 kc) that receives and contains a second selected sterilizer or cleaning fluid (F1),

a first pump assembly (18) comprising a base (18 b) mounted to the first fluid container (500), a fluid delivery tube (20) communicating with the fluid (F) contained in the first enclosed interior chamber (10 c), the fluid delivery tube (20) having an axis (A) and a central fluid flow channel (20FC), the fluid delivery tube (20) being slidably mounted in the base (18 b) for reciprocal upstream (U), downstream (D) movement through the base, the fluid delivery tube (20) having an upstream end (22) and being spring load biased (S) in an upstream direction (U) such that the upstream end (22) of the fluid delivery tube is urged upstream (U) to a stationary start position disposed outside the enclosed interior chamber (13),

the fluid delivery tube (20) being manually drivable by the user in a downstream direction (D) starting from the stationary start position and adapted to pump fluid upstream (F1 u) through the fluid flow channel (20FC) on downstream driven movement (D) of the fluid delivery tube (20),

the upstream end (22) of the fluid delivery tube (20) comprising an enlarged head (22) having an upstream facing surface (22 s) having one or more apertures (22 a) disposed in and through the upstream facing surface (22 s), the one or more apertures (22 a) communicating (20 c) with the fluid flow channel (20FC) of the fluid delivery tube (20) such that fluid (F1) that resides within the fluid flow channel (20FC) is pumped through the one or more apertures (22 a) on driven movement of the fluid delivery tube in the downstream direction (D),

the upstream facing surface (22 s) of the head being configured to receive and engage a complementary surface (17 s) of an external device (15) having a predetermined surface contour,

the fluid delivery tube (20) being drivable downstream from the start position by manually engaging the complementary surface (17 s) of the external device 15 against the upstream facing surface (22 s) of the enlarged head (22) and manually driving the external device in the downstream direction (D),

the second selected fluid (F1) being simultaneously pumped through an exit aperture 24 a disposed at the end of a spout (24 k) communicating with the second interior chamber 10 kc on downstream driven movement of the fluid delivery tube (20).

Such an apparatus of preferably further comprises a second fluid delivery tube (20 k) communicating with the spout (24 k) and being interconnected to a second pump assembly (18 k) wherein both the first and second fluid delivery tubes (20, 20 k) are simultaneously manually drivable by the user in a downstream direction (D) starting from the stationary start position and adapted to pump both fluids (F, F1) upstream (F1 u) respectively through respective fluid delivery apertures 22 a, 24 a on downstream driven movement (D) of the fluid delivery tubes (20, 20 k).

In another aspect of the invention there is provided a method of performing a sterilization or cleaning process comprising a user's manually engaging the upstream facing surface (22 s) of the head (22) of the pump assembly (18) of the apparatus described immediately above with the complementary surface (17 s) of the selected device (15) and manually driving the first fluid delivery tube (20) in the downstream direction by manually driving the selected device (15) in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.

BRIEF DESCRIPTION OF FIGURES

FIG. 1 is a side perspective view of an apparatus according to the invention showing a user exerting a downstream force on a medical device that is engaged with the upstream downstream drivable fluid delivery tube component of the pump assembly of the apparatus.

FIG. 2 is a top perspective view of the sterilization apparatus of FIG. 1 showing the configurations and relationship of the upstream facing surface of the head of the fluid delivery tube and the exterior surface of a stethoscope that is complementary in contour to the contour of the upstream facing surface of the head such that the exterior examining surface of the stethoscope can be readily manually engaged against and disengaged from contact with the upstream facing surface of the head of the tube.

FIG. 3 is a side section view of the apparatus of FIG. 1 showing the details of the arrangement and mounting of the components of the pump assembly of the apparatus and showing the upstream downstream drivable fluid delivery tube disposed in its fully upstream start position held in such position by a spring load that biases the tube upstream and by an upstream stop that holds the tube stationary in the fully upstream position shown.

FIG. 4 is a side sectional view similar to FIG. 3 showing the complementary surface of the head of a stethoscope that it is to be sterilized manually engaged against the upstream facing surface of the head of the fluid delivery tube of the apparatus with a user applying a downstream directed force on the head of the stethoscope that translates to the slidable fluid delivery tube of the pump assembly.

FIG. 5 is a side sectional view similar to FIG. 4 where the user has manually disengaged from exerting downstream force on the head of the stethoscope and the fluid delivery tube being driven upstream by the spring load or spring such that a vacuum is created within the downstream cylinder chamber to cause sterilization fluid to be drawn into the cylinder chamber for eventual pumping upstream on downstream driven movement of the fluid delivery tube.

FIG. 6 is a view similar to FIGS. 4 and 5 showing the fluid delivery tube in a fully downstream locked position.

FIG. 7 is a side view of another embodiment of the invention comprised of a pair of separate fluid delivery devices each having its own separate fluid container 10, 10 k and separate pump assembly, the two devices being configured and arranged side by side and attached to each other in an arrangement such that a laterally extending spout 24 of one of the two devices engages the top end surface of the spout 22 k of the other device enabling the spout 22 of the first device to cause the spring loaded spout 22 k of the other device to be pushed downwardly when the spout 22 of the first device is pushed downwardly and thus enabling two separate fluids contained in the fluid containers 10, 10 k of each device to be delivered simultaneously through the fluid delivery tube components 20 c, 24 kc of each of the two separate pump assemblies of both devices.

FIG. 8 is a top view of the embodiment of FIG. 7.

FIG. 9 is a side view of another embodiment of the invention comprised of a single fluid container 500 having two internally separated fluid chambers 10 c, 10 kc each containing two separate cleaning or sterilizing fluids and each pumped simultaneously through fluid delivery channels 19 n 19 kn respectively when a single spout 24 n is pushed downwardly such that the two separate fluids are simultaneously delivered out of two separate exit apertures or orifices 22 a and 24 a when the spout 24 n is pushed downwardly.

DETAILED DESCRIPTION OF INVENTION

FIGS. 1, 2 show a sterilization apparatus 10 comprised of fluid container 12 and a pump assembly 18 that itself is comprised of an enlarged upstream head 22 that has an upstream facing surface 22 s for receiving and matably engaging a surface 17 s of a selected medical or other instrument or tool 15 such as the examining surface 17 s of a stethoscope that is comprised of a signal transmission cable 16 connected to an examining head 17. As shown in FIG. 1, to operate the apparatus 10 a user exerts a downstream directed force F via one of the user's hands 5 to cause the fluid delivery tube component 20 of the pump assembly 18 to be driven downstream as described below. In the embodiments described herein, when the fluid delivery tube 20 is driven in the downstream direction D, sterilization fluid F is pumped simultaneously through channels 20 c leading to exit apertures 22 a in head 22 as well as through a spout channel 24 c that leads to an exit delivery aperture 24 a such that the user can simultaneously deliver fluid F to the surface 17 s of the device as well as to the other of the user's hands 6 thus enabling the user to simultaneously sterilize the device surface 17 s as well as the user's hands 5, 6.

As shown in FIGS. 3-6 the pump assembly 18 is comprised of a fluid delivery tube 20 that has a central fluid delivery channel 20FC that branches at an upstream position 24 b into channels 24 c and 20 c. The tube 20 is slidably mounted within a mount 18 m and a cylinder 18 c that are in turn mounted to a base 18 b that is screwably engaged by threads 50 t to complementary threads 12 t provided on the exterior circumference of the walls of a cylindrical tubular extension 12 e of the container, the tubular extension forming an aperture entrance 12 ae to the interior chamber 13 of the container 12. The tube 20 is slidably mounted within the mount 18 m and cylinder 18 c such that the tube 20 is slidably movable in a reciprocal upstream U and downstream D direction along axis A of the tube 20.

The tube 20 is constantly urged in the upstream direction U by spring S. As shown in FIG. 3, the tube 20 is disposed in its furthest upstream start position. The tube 20 is stopped from travelling any further upstream than as shown in FIG. 3 because a shoulder 20 ss of the tube 20 engages a stop surface 18 ms of the mount 18 m that prevents the tube 20 from travelling upstream beyond the start position shown in FIG. 3.

As shown in FIG. 4 when a downstream directed force D is applied to the upstream end 15 u of the device 15 to be sterilized, the force D is translated to the head 22 which in turn translates the force D to the elongated tube portion 20 et of the tube 20 thus driving the tube 20 in a downstream direction D along axis A against the upstream directed force U of the spring S. As the tube is driven downstream D, the ball 60 component of a check valve 60 v disposed at the downstream end of the cylinder 18 c is forced by the downstream fluid pressure within chamber 18 cc to close off the valve aperture 60 a that communicates with the flow channel 19 of a downstream tube extension 18 ct of the cylinder 18 c in which the tube 20 is slidably mounted. With the valve 60 v closed, the piston head 20 p pressurizes any fluid F1 that is contained in the cylinder chamber 18 cc which causes the fluid F1 u to travel upstream through distal tube apertures 20 da and further upstream through channel 20FC and continuously upstream F1 u through channels 20 c and 24 c. As shown, the downstream tube extension 18 ct extends downstream into the container enclosure 13 as far as possible in order to communicate with the downstream-most volume of fluid F that may be resident within the interior chamber 13.

As the tube 20 is driven downstream D as shown in FIG. 3 a vacuum 18 v is created in the upstream enclosed chamber 18 uc of the cylinder which in turn causes ambient air AA to be sucked into the air gaps between the sliding tube 20 and the mount 18 m.

As shown in FIG. 5 when the user manually disengages the upstream end 15 u of the device 15 after having already driven the tube 20 downstream to the position of FIG. 4, the spring load shown as a spring S, drives or urges U the tube 20 in an upstream direction U along axis A. The upstream movement U of the tube 20 causes the fluid to create a vacuum in chamber 18 cc thus causing the ball 60 to travel upwardly out of blockage engagement with valve aperture 60 thus causing fluid F contained within enclosure 13 to travel upstream F1 u through channel 19 of tube extension 18 ct and further upstream through now opened valve aperture 60 a into chamber 18 cc to replenish the fluid F that is resident in chamber 18 cc for the next subsequent downstream driven D movement of the tube 20. If the top end of the tube 22 is manually disengaged as shown in FIG. 4 for a short period of time such as between about 0.5 and 6 seconds, the tube 20 is driven all the way upstream U by the spring load bias S until the tube reaches the stationary upstream-most start position shown in FIG. 3.

As the tube 20 travels upwardly U, air pressure builds 18 p in chamber 18 uc and thus air AA flows between the surfaces of tube 20 and mount 18 m and eventually out into the ambient air as well as flows into the interior chamber 13 causing the fluid F to travel upstream through channel 19 and aperture 60 a into chamber 18 cc.

As shown in FIG. 6 if the tube 20 is manually driven even further and continuously downstream D from the position in FIG. 5 rather than being manually released as in FIG. 5 for an extended period of time in excess of from 0.5 to about 6 seconds, the tube 20 will eventually reach a maximum downstream position as shown in FIG. 6 where a lock detent 201 on the exterior circumference of the tube 20 engages with a complementary receiving aperture or detent 181 on the interior of the mount 18 m to cause the tube to become locked in the furthest downstream position as shown in FIG. 6. When the tube 20 is so driven to the downward-most locked position of FIG. 5, a seal member 20 ds that is mounted on the downstream tip end of the tube 20 closes off a complementary aperture 18 cca that is disposed in the downstream end of the cylinder 18.

FIG. 7 shows an alternative embodiment of the invention comprised of a pair of separate fluid delivery devices 10, 10 k each having its own separate fluid container 12, 12 k and separate pump assembly, the two devices being configured and arranged side by side and attached to each other in an arrangement such that a laterally extending spout 24 of one of the two devices engages the top end surface of the spout 22 k of the other device enabling the spout 22 of the first device to cause the spring loaded spout 22 k of the other device to be pushed downwardly when the spout 22 of the first device is pushed downwardly and thus enabling two separate fluids contained in the fluid containers 10, 10 k of each device to be delivered simultaneously through the fluid delivery tube components 20 c, 24 kc of each of the two separate pump assemblies of both devices.

The two devices 10, 10 k both separately typically include a fluid delivery pump assembly comprised of all of the same components as described above for the apparatus of FIGS. 1-6. As shown in FIG. 7 the size, height, width and length of the containers 12, 12 k, the two spouts 24, 24 k, the two fluid deliver tubes or channels 19, 19 k and all other components are adapted and selected such that the containers 12, 12 k can be attached to each other in an arrangement as shown in FIGS. 7, 8 where an undersurface 24 u of the spout 24 one 10 of two devices 10, 10 k can engage a top surface 22 k of the spout 24 k of the other device 10 k such that when a downward force MF is exerted on the top end 22 a of the first device 10, a downward force MFK is simultaneously exerted on the top end 22 k of the other spout 24 k thus simultaneously activating the pump apparatuses associated with the fluid delivery tubes 20, 20 k and simultaneously causing each separate fluid contained in each container 12, 12 k to be simultaneously pumped out of the separate apertures 22 a and 24 a.

FIG. 9 is a side view of another embodiment of the invention comprised of a single fluid container 500 having two internally separated fluid chambers 10 c, 10 kc each containing two separate cleaning or sterilizing fluids and each separate fluid being pumped simultaneously through fluid delivery channels 19 n 19 kn respectively when a single spout 24 n is pushed downwardly MF such that the two separate fluids are simultaneously delivered out of two separate exit apertures or orifices 22 a and 24 a when the spout 24 n is pushed downwardly MF. Each fluid delivery channel 19 n, 19 kn is interconnected to a fluid delivery pump assembly similar to the fluid delivery pump apparatus as described with reference to FIGS. 1-6. One of the two fluids contained in one of the two chambers 10 c, 10 kc is selected to be suitable for cleaning or sterilizing the surface of a medical instrument (such as an alcohol containing fluid) such as a stethoscope. The other of the two fluids contained in the other of the two chambers 10 c, 10 kc is selected to be suitable for cleaning or sterilizing a human user's hands such as a fluid containing a selected antimicrobial agent. The fluid delivery channel that is associated with the chamber that contains the medical instrument containing fluid is delivered to and through apertures 22 a disposed at the top end 22 n of the spout 24 n as described above with reference to FIGS. 1-6. The fluid delivery channel that is associated with the chamber that contains the user's hand cleaner containing fluid is delivered to and through aperture 24 a disposed at the lateral distal end 24 n as described above with reference to FIGS. 1-6. Thus both cleaning or sterilizing fluids are simultaneously delivered from a single container 500 as opposed to being delivered from two separate containers 10, 10 k in the embodiment of FIGS. 7, 8. 

What is claimed is:
 1. An apparatus for pumping a selected sterilizing fluid by a user comprising: a fluid container having an enclosed interior chamber that receives the selected sterilizer fluid, a pump assembly comprising a base, a fluid delivery tube having an axis and a central fluid flow channel, the fluid delivery tube being slidably mounted in the base for reciprocal upstream, downstream movement through the base, the fluid delivery tube having an upstream end and being spring load biased in an upstream direction such that the upstream end of the fluid delivery tube is urged upstream to a stationary start position disposed outside the enclosed interior chamber, the fluid delivery tube being manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump fluid upstream through the fluid flow channel on downstream driven movement of the fluid delivery tube, the upstream end of the fluid delivery tube comprising an enlarged head having an upstream facing surface having one or more apertures disposed in and through the upstream facing surface, the one or more apertures communicating with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the one or more apertures on driven movement of the fluid delivery tube in the downstream direction, the upstream facing surface of the head being configured to receive and engage a complementary surface of an external device having a predetermined surface contour, the fluid delivery tube being drivable downstream from the start position by manually engaging the complementary surface of the external device against the upstream facing surface of the enlarged head and manually driving the external device in the downstream direction.
 2. The apparatus of claim 1 wherein the upstream end of the fluid delivery tube can include a spout extending in a generally radial direction from the axis of the fluid delivery tube, the spout having a radial flow channel that terminates at an upstream end in an open fluid delivery aperture and communicates at a downstream end with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the radial channel on downstream movement of the fluid delivery tube.
 3. The apparatus according to claim 1 wherein the fluid delivery tube is adapted to draw fluid that resides in the enclosed container upstream into the fluid flow channel or into fluid communication with the fluid flow channel on upstream movement of the fluid delivery tube under force of the spring load bias exerted on the fluid delivery tube.
 4. The apparatus according to any claim 1 wherein the fluid flow channel branches at a distribution position into a first branch and a second branch that simultaneously and respectively communicate fluid to the one or more apertures in the head and to the radial flow channel of the spout.
 5. The apparatus according to claim 1 wherein the pump assembly includes a cylinder having an inner wall surface, the fluid delivery tube comprising an elongated tube portion having a piston head formed on a downstream end of the elongated tube, the piston head having an outer circumferential surface that sealably and slidably mates with the inner wall surface of the cylinder to form a downstream fluid receiving chamber within the cylinder that receives fluid that is resident in the enclosed interior chamber of the container through a downstream valve that is mounted to the cylinder on upstream movement of the fluid delivery tube, the fluid received within the fluid receiving chamber of the cylinder being forced upstream through an aperture that is disposed in the piston head 20 p that is in communication with the fluid flow channel.
 6. A method of performing a sterilization process comprising a user's manually engaging the upstream facing surface of the head of an apparatus according to any of the foregoing claims with the complementary surface of the selected device and manually driving the fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.
 7. An apparatus for pumping a selected sterilizing fluid by a user comprising: a fluid container having an enclosed interior chamber that receives the selected sterilizer fluid, a pump assembly comprising a base, a fluid delivery tube having an axis and a central fluid flow channel, the fluid delivery tube being slidably mounted in the base for reciprocal upstream, downstream movement through the base, the fluid delivery tube having an upstream end and being spring load biased in an upstream direction such that the upstream end of the fluid delivery tube is urged upstream to a stationary start position disposed outside the enclosed interior chamber, the fluid delivery tube being manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump fluid upstream through the fluid flow channel on downstream driven movement of the fluid delivery tube, the upstream end of the fluid delivery tube comprising an enlarged head having an upstream facing surface having one or more apertures disposed in and through the upstream facing surface, the one or more apertures communicating with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the one or more apertures on driven movement of the fluid delivery tube in the downstream direction, the upstream facing surface of the head being configured to receive and engage a complementary surface of an external device having a predetermined outer surface contour, wherein the upstream end of the fluid delivery tube includes a spout extending in a generally radial direction from the upstream end of the fluid delivery tube, the spout having a radial flow channel that terminates at an upstream end in an open fluid delivery aperture and communicates at a downstream end with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the radial channel on downstream movement of the fluid delivery tube.
 8. The apparatus of claim 7 wherein the fluid delivery tube is adapted to draw fluid that resides in the enclosed container upstream into the fluid flow channel or into fluid communication with the fluid flow channel on upstream movement of the fluid delivery tube under force of the spring load bias exerted on the fluid delivery tube.
 9. The apparatus according to claim 7 wherein the fluid flow channel branches at a distribution position into a first branch and a second branch that simultaneously and respectively communicate fluid to the one or more apertures in the head and to the radial flow channel of the spout.
 10. The apparatus according to claim 7 wherein the pump assembly includes a cylinder having an inner wall surface, the fluid delivery tube comprising an elongated tube having a piston head formed on a downstream end of the elongated tube, the piston head having an outer circumferential surface that sealably and slidably mates with the inner wall surface of the cylinder to form a downstream fluid receiving chamber within the cylinder that receives fluid that is resident in the enclosed interior chamber of the container through a downstream valve that is mounted to the cylinder on upstream movement of the fluid delivery tube, the fluid received within the fluid receiving chamber of the cylinder being forced upstream through an aperture that is disposed in the piston head that is in communication with the fluid flow channel.
 11. A method of performing a sterilization process comprising a user's manually engaging the upstream facing surface of the head of the apparatus according to claim 7 with the complementary surface of the selected device and manually driving the fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.
 12. An apparatus for pumping first and second selected sterilizing or cleaning fluids by a user comprising: a first fluid container having an enclosed interior chamber that receives and contains the first selected sterilizer fluid, a second fluid container having an enclosed interior chamber that receives and contains the second selected sterilizer fluid, a first pump assembly comprising a base mounted to the first fluid container, a fluid delivery tube communicating with the fluid contained in the first fluid container, the fluid delivery tube having an axis and a central fluid flow channel, the fluid delivery tube being slidably mounted in the base (18 b) for reciprocal upstream, downstream movement through the base, the fluid delivery tube having an upstream end and being spring load biased in an upstream direction such that the upstream end of the fluid delivery tube is urged upstream to a stationary start position disposed outside the enclosed interior chamber, the fluid delivery tube being manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump fluid upstream through the fluid flow channel on downstream driven movement of the fluid delivery tube, the upstream end of the fluid delivery tube comprising an enlarged head having an upstream facing surface having one or more apertures disposed in and through the upstream facing surface, the one or more apertures communicating with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the one or more apertures on driven movement of the fluid delivery tube in the downstream direction, the upstream facing surface of the head being configured to receive and engage a complementary surface of an external device having a predetermined surface contour, the fluid delivery tube being drivable downstream from the start position by manually engaging the complementary surface of the external device against the upstream facing surface of the enlarged head and manually driving the external device in the downstream direction.
 13. The apparatus according to claim 12 wherein the first fluid container and the second fluid container are adapted such that an undersurface of a laterally extending spout of the first fluid container engages a top surface of a laterally extending spout of the second fluid container that is interconnected to a second fluid delivery tube that is interconnected to a second pump assembly wherein both the first and second fluid delivery tubes are simultaneously manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump both fluids upstream respectively through respective fluid delivery apertures on downstream driven movement of the fluid delivery tubes.
 14. A method of performing a sterilization or cleaning process comprising a user's manually engaging the upstream facing surface of the head of the pump assembly of the apparatus according to claim 12 with the complementary surface of the selected device and manually driving the first fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head.
 15. An apparatus for pumping first and second selected sterilizing or cleaning fluids by a user comprising: a fluid container having a first enclosed interior chamber that receives and contains a first selected sterilizer or cleaning fluid and a second enclosed interior chamber that receives and contains a second selected sterilizer or cleaning fluid, a first pump assembly comprising a base mounted to the first fluid container, a fluid delivery tube communicating with the fluid contained in the first enclosed interior chamber, the fluid delivery tube having an axis and a central fluid flow channel, the fluid delivery tube being slidably mounted in the base for reciprocal upstream, downstream movement through the base, the fluid delivery tube having an upstream end and being spring load biased in an upstream direction such that the upstream end of the fluid delivery tube is urged upstream to a stationary start position disposed outside the enclosed interior chamber, the fluid delivery tube being manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump fluid upstream through the fluid flow channel on downstream driven movement of the fluid delivery tube, the upstream end of the fluid delivery tube comprising an enlarged head having an upstream facing surface having one or more apertures disposed in and through the upstream facing surface, the one or more apertures communicating with the fluid flow channel of the fluid delivery tube such that fluid that resides within the fluid flow channel is pumped through the one or more apertures on driven movement of the fluid delivery tube in the downstream direction, the upstream facing surface of the head being configured to receive and engage a complementary surface of an external device having a predetermined surface contour, the fluid delivery tube being drivable downstream from the start position by manually engaging the complementary surface of the external device against the upstream facing surface of the enlarged head and manually driving the external device in the downstream direction, the second selected fluid being simultaneously pumped through an exit aperture disposed at the end of a spout communicating with the second interior chamber 10 kc on downstream driven movement of the fluid delivery tube.
 16. The apparatus of claim 15 further comprising a second fluid delivery tube communicating with the spout and being interconnected to a second pump assembly wherein both the first and second fluid delivery tubes are simultaneously manually drivable by the user in a downstream direction starting from the stationary start position and adapted to pump both fluids upstream (F1 u) respectively through respective fluid delivery apertures on downstream driven movement of the fluid delivery tubes.
 17. A method of performing a sterilization or cleaning process comprising a user's manually engaging the upstream facing surface of the head of the pump assembly of the apparatus according to claim 15 with the complementary surface of the selected device and manually driving the first fluid delivery tube in the downstream direction by manually driving the selected device in the downstream direction while the complementary surface is engaged with the upstream facing surface of the head. 